Sample Record for 2025-05-06-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000004 DEA: 033H5604 EFIS: 0318000014
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-20,80-VAR
Work Description: STRUCTURAL CONC, BAR REINFORCING STEEL, BRIDGE REMOVAL, HMA, AND JPCP.
Location Description: PLACER AND NEVADA COUNTIES NEAR CISCO GROVE ON ROUTE 80 FROM 0.4 MILE WEST OF LAKE VALLEY OVERCROSSING TO 0.9 MILE EAST OF YUBA PASS SEPARATION AND OVERHEAD AND ON ROUTE 20 AT YUBA PASS SEPARATION AND OVERHEAD
Contractor Name: FLATIRON WEST INC.
Contractor Address: 1200 Concord Ave Suite 465, Concord, CA 94520
Resident Engineer: Tad Sampson Structure Rep.: James 'Jimmer' Ross
Sample Information
DIME Sample ID: 2025-05-06-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 05/06/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/08/2025
The quantity of what the sample constitutes: 3466 lbs
A brief description of the sample: Epoxy Coated Rebar
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coatings
Material Information
Rebar Heat Number(s): 284024, 283924, 008922
Rebar Epoxy Batch Number(s): CH1414WL, CH0294ZG
Rebar Coating Specification: ASTM A775
Rebar Size (#): 3
Rebar Coating Color: Green
Rebar Manufacturer: Cascade
Rebar Coater: Western Coating
Rebar Powder Manufacturer:
Release Number:
Quality Assurance Code:
Test Results
Test 1 of 3
DIME Test ID: 2025-05-06-1-1
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 05/21/2025
Date Tested: 05/21/2025
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
First Bar Mean
|
11
|
|
Second Bar Mean
|
13.2
|
|
Lower spec. limit LSL
|
7
|
|
Upper spec. limit USL
|
12
|
|
Bar # for First Bar
|
1
|
|
Bar # for Second Bar
|
2
|
|
Total mean value
|
no data0 mils
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
Test 2 of 3
DIME Test ID: 2025-05-06-1-2
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 05/21/2025
Date Tested: 05/21/2025
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Total Number of Holiday
|
no data0
|
|
Total Length
|
8.6
|
|
Holidays Per Linear Foot of Bar
|
no data0 holiday per ft
|
|
Holiday Test Pass/Fail
|
Pass
|
|
Bend Test Pass/Fail
|
Pass
|
Test 3 of 3
DIME Test ID: 2025-05-06-1-3
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 05/21/2025
Date Tested: 05/21/2025
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
First Bar Mean
|
12.6 mils
|
|
Second Bar Mean
|
11.8 mils
|
|
Lower spec. limit LSL
|
7 mils
|
|
Upper spec. limit USL
|
12 mils
|
|
Bar # for First Bar
|
3
|
|
Bar # for Second Bar
|
4
|
|
Total mean value
|
no data0 mils
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
